Individual provider · NPI-1

Renee Banks, LMT

Massage Therapist · Syracuse, NY

NPI number1538749650
StatusActive
Last updated in NPPESApr 12, 2021

Details

NPI
1538749650
Entity type
Individual (NPI-1)
Name
Renee Banks
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 12, 2021
Certification date
Apr 12, 2021
Last updated
Apr 12, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist024732NYYes

Practice location

109 S Warren St
Syracuse, NY 13202-1798

Phone 315-957-5963

Mailing address

3527 Griffin Rd
Syracuse, NY 13215-9525

Phone 315-877-0197

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